Individual provider · Type 1 NPI

McTisa Michelle Lane, FNP

Family Nurse Practitioner · Fort Bragg, NC

NPI number 1669756177 Active

Practice location

2817 Rock Merritt Ave Stop A
Fort Bragg, NC 28310-8862

Fax (910) 907-6069

Other practice locations

  • 202 Kensington Dr, Spring Lake, NC 28390-4056 · (919) 625-9818

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5005342 (NC)

Family Nurse Practitioner: Definition to come...

58 other providers at this address

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About NPI 1669756177

McTisa Michelle Lane, FNP's National Provider Identifier is 1669756177, issued on Oct 3, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Bragg, NC. The record was last updated on Jun 9, 2025.